Active NPI
Kyesha Ariane Lipscomb, PHARM. D.
- Pharmacist
- Stevensville, MI
National Provider Identifier
1376094771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302044854
- Practice address
- 1710 W John Beers Rd
Stevensville, MI 49127-9409 - Phone
- (269) 429-1153
- NPI assigned
- Oct 20, 2016
- Last updated
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302044854 | MI | Primary |
Addresses
Primary practice location
1710 W John Beers Rd
Stevensville, MI 49127-9409
Mailing address
1260 Hilltop Rd
Saint Joseph, MI 49085-2839
Phone (269) 983-0315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302044854 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1376094771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 HILLTOP RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852839",
"telephone_number": "269-983-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W JOHN BEERS RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279409",
"telephone_number": "269-429-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "KYESHA",
"middle_name": "ARIANE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302044854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MI
- Lavender and Sage Therapeutic Massage, LLC
- Jenny-Anh Phuong Le, PHARM.D
- Sarah Leese, PA-C
- Life Steps Family Counseling
- Life Vision Eyecare, PLLC (Life Vision Eyecare)
- Anna Lonto, DPT
- Henry D Lyon, D.D.S.
- Jeremy Michael Malzon, MA, LPC
- Heather A Marten, MD
- Martin's Super Markets of Stevensville LLC (Martin's Pharmacy #23 Stevensville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.